Provider Demographics
NPI:1811998057
Name:KORPICS, JOHN F (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:KORPICS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95279
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60694-5279
Mailing Address - Country:US
Mailing Address - Phone:774-854-4748
Mailing Address - Fax:
Practice Address - Street 1:ADVOCATE GOOD SAMARITAN HOSPITAL
Practice Address - Street 2:3815 HIGHLAND AVE
Practice Address - City:DOWNER'S GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-275-5900
Practice Address - Fax:630-734-1560
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036 083204207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036083204Medicaid
F92151Medicare UPIN